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  • Prescription Drug Monitoring Program Flow

In 2014, Maryland launched its Prescription Drug Monitoring Program (PDMP), which requires drug dispensers to electronically report information for each controlled substance prescription dispensed to a patient in Maryland. The PDMP offers healthcare providers a powerful new clinical tool for the identification and prevention of prescription drug-related substance use disorders and aberrant behavior.  

The Department of Health and Mental Hygiene (DHMH) partnered with CRISP, the statewide health information exchange (HIE), to integrate the prescription information reported to the PDMP right alongside other clinical data currently available through CRISP. These data are shown in an easy-to-use display that can be configured by the user. CRISP connects all 46 acute care hospitals in Maryland, allowing data exchange for hospital encounters, labs, radiology reports and other clinical documents.

CRISP contracted with Health Information Designs (HID), a PDMP vendor, to handle the connections with the pharmacies and reporting of prescriptions portion of the project, as well as administrative, law enforcement, licensing board, and public health agency access. HID sends a copy of the PDMP data from their database to CRISP, which runs the data through the Initiate Master Patient Index, and stores a copy in the HIE portal. Initiate allows for matching the PDMP data with the clinical data–when a clinical user searches for a patient in CRISP, the clinical and PDMP data can be viewed side-by-side.
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